Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.05 / $1,064.00 / $7,796.00	Facility		$274.05	$1,064.00	$7,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $195.98 / $373.60	Professional		$109.01	$195.98	$373.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.64 / $242.64 / $255.49	Professional		$242.64	$242.64	$255.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.35 / $663.28 / $1,100.23	Facility		$356.35	$663.28	$1,100.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $245.00 / $405.40	Professional		$142.72	$245.00	$405.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $536.76	Facility		$505.00	$505.00	$536.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.76 / $236.19 / $324.23	Professional		$164.76	$236.19	$324.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.09 / $250.00 / $408.44	Facility		$151.09	$250.00	$408.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $427.30 / $427.30 / $427.30	Professional		$427.30	$427.30	$427.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $229.16 / $316.93	Professional		$184.32	$229.16	$316.93
United Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $1,178.00 / $3,585.00	Facility		$358.00	$1,178.00	$3,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.51 / $222.12 / $434.35	Professional		$161.51	$222.12	$434.35